NPI 1457589699 · live from the CMS NPI Registry
Amaya Marie Basta, MD
Radiology, Diagnostic Radiology in Cleveland, OH. National Provider Identifier 1457589699, active.
NPI record
| NPI | 1457589699 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 9500 Euclid Ave, Cleveland, OH 44195 |
| Practice phone | 866-320-4573 |
| Mailing address | 64 Homestead Dr, Boise, ID 83716 |
| Enumerated | June 25, 2009 |
| Last updated | January 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 340687 (LA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 115078 (CA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | M13201 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.